JAMES ERIC GOFORTH CRNP
NPI 1154841831
Nurse Practitioner - Primary Care in Dothan, AL

Active since June 22, 2017PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
201 DOCTORS DR, DOTHAN, AL 36301(334) 794-6611(334) 794-6614 Get Directions Write a Review

NPPES record last updated: June 22, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James Eric Goforth Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES ERIC GOFORTH CRNP (NPI 1154841831) is an individual primary care provider in Dothan, Alabama, licensed in Alabama (1-097156) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1154841831
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameJAMES ERIC GOFORTHCredential: CRNP
Location Address201 DOCTORS DRDothan, AL 36301-2949
Mailing Address65 County Road 679Coffee Springs, AL 36318-6051 · (334) 494-8485
Fax(334) 794-6614
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 22, 2017
NPI 1154841831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in AL · 1-097156
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 1-097156 (AL)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 1-097156 (AL)
201 DOCTORS DR, Dothan, AL 36301

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

James Eric Goforth Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971683889
PECOS Enrollment IDI20170731002243
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
2,495 services328 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
866 services216 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
646 services190 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
410 services122 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
261 services135 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
211 services175 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
201 DOCTORS DR
DOTHAN, AL 36301
Nurse Practitioner (Family)
201 DOCTORS DR
DOTHAN, AL 36301
Internal Medicine
201 DOCTORS DR
DOTHAN, AL 36301
Nurse Practitioner
201 DOCTORS DR
DOTHAN, AL 36301
Nurse Practitioner
201 DOCTORS DR
DOTHAN, AL 36301
Nurse Practitioner (Family)
201 DOCTORS DR
DOTHAN, AL 36301
Nurse Practitioner (Family)
201 DOCTORS DR
DOTHAN, AL 36301
Nurse Practitioner (Family)
201 DOCTORS DR
DOTHAN, AL 36301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Goforth's NPI number?

The NPI number for James Goforth is 1154841831. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is James Goforth located?

James Goforth practices at 201 Doctors Dr, Dothan, AL 36301. The listed phone number is (334) 794-6611.

What is James Goforth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is James Goforth enrolled in Medicare?

Yes. James Goforth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Goforth accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list James Goforth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Goforth was last updated on June 22, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.